scholarly journals Exploring the Family Expectation of Patients Undergoing Surgery: A Qualitative Study

2021 ◽  
Vol 12 (2) ◽  
pp. 140-148
Author(s):  
Ebrahim Nasiri ◽  
Sara Shabanzad
Keyword(s):  
Treatment Process ◽  
Phenomenological Study ◽  
Medical Condition ◽  
Qualitative Content Analysis ◽  
Family Members ◽  
High Stress ◽  
Main Theme ◽  
Structured Interviews ◽  
Internal Conflicts ◽  
Qualitative Phenomenological

Background and Objectives: Accompanying the patients' family members in hospital creates feeling of empathy, safety of and help with fulfilling their expectations. Because both the patients and careers suffer from high stress due to lack of awareness about medical condition and treatment process. It is important for health system to understsand the expectations of patients and family members to be responsive and fullfill it correctly. This study was conducted to discover the patients carers (family members) experiences and expectation of patients undergoing surgery. Material and Methods: This qualitative phenomenological study was performed on 15 family members of patients undergoing surgery by purposive sampling until complete saturation of information. Data were collected through semi-structured interviews and recorded using word software. Items were extracted and qualitative content analysis method was used to analyze the data. Results: By analyzing the data, the main theme is "anxious minutes" and 5 main categories including "associated internal conflicts, behavioral changes while waiting, concerns about the prognosis of surgery, concerns about the outcome of the treatment process, and doubts about Hospital components" were extracted. Conclusion: While waiting for the end of the surgery, families experience many anxieties and worries about the patient's health and the treatment process. Considering the concerns of the patient's companions with principled planning, appropriate and practical interventions can improve the mental health of families and improve the quality of patient care.

scholarly journals Challenges and Obstacles to Clinical Guidelines from the Perspectives of Urology Residents: A Qualitative Study

2020 ◽  
Vol 11 (4) ◽  
pp. 316-323
Author(s):  
ali jannati ◽  
sakineh hajebrahimi ◽  
mina azizzadeh
Keyword(s):  
Clinical Guidelines ◽  
Phenomenological Study ◽  
Resistance To Change ◽  
Qualitative Content Analysis ◽  
Structured Interviews ◽  
External Monitoring ◽  
Educational Challenges ◽  
Number Of Patients ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Background and Objectives: Clinicians rely on clinical guidelines for decision making. Carefully formulated clinical guidelines are the result of a combination of relevant researches that links evidence to clinical practice. The purpose of this study was to determine the barriers to the use of clinical guidelines from viewpoints of residents. Material and Methods: This study is a qualitative phenomenological study that examines the experiences of the residents of Urology Department of Imam Reza Hospital in Tabriz City of Iran. The sampling method was purposive. Qualitative content analysis used to analyze this study. To validate the results, the interviews were repeatedly read and the opinions of colleagues were regularly used. External monitoring was used to increase its reliability. Results: 11 semi-structured interviews were conducted with the urology residents of Imam Reza Hospital. The results showed that the challenges and barriers to the implementation of clinical guidelines were classified into three main themes: 1. Structural challenges: doctors' distrust of clinical guidelines, Illegitimacy and lack of local clinical guidelines. 2. Executive challenges: routine processes, Lack of agreeable atmosphere, resistance to change among physicians and high number of patients and lack of facilities. 3. Educational challenges: lack of residency time and lack of practical educational structure for students. Conclusion: Given the importance of proper implementation of clinical guidelines as a link to up-to-date knowledge and practice and given the existing structural, executive and educational problems, obstacles and challenges, it is hoped that researchers, managers, policymakers and Patients should take steps to remove barriers to the proper implementation of clinical guidelines and provide high quality services to patients.

“God, why?”: The Experience of Mothers from the Israeli Ultra-Orthodox Sector after their Child’s Disclosure of Sexual Abuse

2021 ◽  
pp. 088626052110219
Author(s):  
Aiala Szyfer Lipinsky ◽  
Limor Goldner
Keyword(s):  
Sexual Abuse ◽  
Minority Groups ◽  
Phenomenological Study ◽  
Meaning Making ◽  
Initial Step ◽  
Well Being ◽  
Structured Interviews ◽  
Drawing Task ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Studies dealing with the experiences of non-offending mothers from the general population and minority groups after their child’s disclosure of sexual abuse are scarce, and studies on mothers from the Jewish ultra-Orthodox community are non-existent. This study takes an initial step in filling this gap by exploring how the normalization of sexual abuse shapes these mothers’ experiences. A qualitative phenomenological study was conducted on a sample of 21 mothers from the ultra-Orthodox sector whose children had been sexually abused. It consisted of in-depth, semi-structured interviews of the mothers followed by a drawing task on their experience. The analysis of the interviews yielded four central themes: the role of social stigmatization and religion on the mother’s ability to share her child’s abuse; the effect of the disclosure on the mothers’ mental state and maternal competency; the mothers’ ongoing experience in the shadow of this unprocessed/unresolved trauma; and the mothers’ coping strategies, including acceptance, faith, and meaning making. The findings highlight the influence of the tension between the need to adhere to religious norms and preserve the social fabric and the need to enhance mothers’ and children’s well-being.

A Transformative Impact of Theory in Clinical Practice: A Study in a Cardiogenetics Clinic

2020 ◽  
Vol 34 (2) ◽  
pp. 129-143
Author(s):  
Esma D. Paljevic
Keyword(s):  
New York ◽  
Lived Experience ◽  
Family Member ◽  
Phenomenological Study ◽  
Family Members ◽  
Phenomenological Approach ◽  
Genetic Profile ◽  
Delivery Of Care ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Background and PurposeThis qualitative phenomenological study explored the lived experiences of family members who have been referred to a cardiogenetics clinic following the loss of a family member to sudden cardiac death (SCD). These family members were evaluated in a Cardiogenetics Clinic in a Children's Hospital in the New York region, which utilizes an interprofessional approach to care.MethodsA qualitative phenomenological approach was used to explore the lived experience of family members that were referred following the SCD of a family member. The researcher used hermeneutic dialectics and interviewed family members that attended the Cardiogenetics Clinic.ResultsInsights gained through discussion were discussed in the following themes: stories of feelings being heard, stories of meaningfulness, and stories of mutual process. This led to the transformation of the typical linear clinic process to a transformative and dynamic model for integrated delivery of care.Implications for PracticeThis interprofessional model of care offers information regarding SCD, a genetic profile to determine risk for SCD, an integrative collaborative approach to care as well as nursing, medical interventions, psychological support, and counseling for families.

Addicted to Pain: A Preliminary Model of Sexual Masochism as Addiction

2016 ◽  
Vol 61 (15) ◽  
pp. 1760-1774 ◽  
Author(s):  
Holly Kurt ◽  
Natti Ronel
Keyword(s):  
Phenomenological Study ◽  
Structured Interviews ◽  
Addictive Disorders ◽  
Diagnostic And Statistical Manual ◽  
Sexual Masochism ◽  
Preliminary Model ◽  
Key Characteristics ◽  
Definition Of ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

An exploratory, qualitative, phenomenological study focused on the experience of pain while participating in sexual masochistic acts. Semi-structured interviews were conducted with nine individuals (four female, five male) who regularly participate in sexually masochistic acts and point to pain as central to their experience. Qualitative analysis of the data revealed several key characteristics of the participant’s experience: the first time, intoxication, craving and withdrawal, tolerance, pain as control, and the pain inducing partner. The findings indicate that the way pain is experienced while mitigated through masochistic behavior creates an addictive process that coincides with a chronic behavioral spin contextualization. This article presents a preliminary model of addiction to physical pain in light of the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) definition of substance-related and addictive disorders and the behavioral spin theory.

scholarly journals Technical nursing students interacting with family members of hospitalized children

2017 ◽  
Vol 70 (6) ◽  
pp. 1137-1144 ◽  
Author(s):  
Juliana Yukari Takahashi Onishi ◽  
Circéa Amália Ribeiro ◽  
Maria Cristina Ferreira Carlos Rodrigues da Silva ◽  
Regina Issuzu Hirooka de Borba
Keyword(s):  
Nursing Students ◽  
Qualitative Content Analysis ◽  
Family Members ◽  
Family Care ◽  
Study Data ◽  
Hospitalized Children ◽  
Structured Interviews ◽  
The City ◽  
Difficult Situations ◽  
Nursing Course

ABSTRACT Objective: To understand technical nursing students' meaning of interacting with family members of hospitalized children. Method: Symbolic Interactionism was used as the theoretical framework and Qualitative Content Analysis was the methodological procedure. A total of eight graduates from an institution situated in the city of Osasco, Sao Paulo state, participated in this study. Data were collected through semi-structured interviews. Results: A total of five representative themes were revealed: Dealing with difficult situations with family members; Perceiving oneself to be unprepared to interact with family members; Family members being a helpful tool; Developing strategies to obtain a good interaction with family members; and Teachers being facilitators of the interaction with family members. Final considerations: To be acquainted with this experience has led to the understanding of the need to include the theme of family care in the curriculum of the Technical Nursing Course. Additionally, the present study contributed to reflections on the importance of such knowledge for this population and to the development of future studies, as this theme has been scarcely explored in the literature.

scholarly journals Family Caregivers' Experiences of Caring for Patients with COVID-19: A Phenomenological Study

2020 ◽  
Author(s):  
Tahereh Rahimi ◽  
Neda Dastyar ◽  
Foozieh Rafati
Keyword(s):  
Family Caregivers ◽  
Phenomenological Study ◽  
Social Experiences ◽  
Physical And Mental Health ◽  
Structured Interviews ◽  
Community Members ◽  
Step Method ◽  
Positive Experiences ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Abstract Background: Family caregivers of patients with COVID-19 face many challenges that affect their physical and mental health. Aim: The aim of the present study was to explore the family caregivers' experiences of caring for patients with COVID-19. Methods: This qualitative phenomenological study was performed based on 13 family caregivers who had experience in home caring for patients with COVID-19. Data were collected through purposive sampling with in-depth semi-structured interviews. The Colaizzi's 7-step method was used to determine themes. The MAXQDA10 software was used to manage qualitative data analysis.Results: Five themes of (a) “nature of the disease” with 2 subcategories, including “fluctuating symptoms” and “emergent and unpredictable disease;” (b) “unmet needs” with 3 subcategories, including “lack of knowledge,” “lack of health facilities,” and” financial problems;” (c) “unpleasant physical, psychological, and social experiences” with 3 subcategories, including “unpleasant physical experiences,” “unpleasant psychological experiences,” and “unpleasant social experiences;” (d) “care facilitators” with 3 subcategories, including “social support,” “adaptive mechanisms,” and “intrinsic motivations;” and (e) “positive experiences” with 3 subcategories, including “promoting spirituality,” “improving relationships,” and “growth” were extracted.Conclusion: Information and financial support for COVID-19 should be provided to family caregivers. Also, community members should embrace patients and family caregivers and reinforce the positive experiences of caregivers.

Passé or a time to pause? A phenomenological study of family physicians’ experiences of physical examination

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696797
Author(s):  
Martina Kelly ◽  
Lisa Freeman
Keyword(s):  
Physical Examination ◽  
Family Practice ◽  
Phenomenological Study ◽  
Essential Element ◽  
Family Physicians ◽  
The Body ◽  
Evidence Based ◽  
Structured Interviews ◽  
Qualitative Phenomenological

BackgroundOnce the cornerstone of clinical family practice, the role of physical examination is changing. Patients and physicians alike express concern that emphasis on evidence-based medicine and increasing reliance of technology has relegated the role of physical examination in clinical practice.AimTo understand the role of physical examination in contemporary family practice.MethodQualitative phenomenological study, interpreted through the writings of Merleau-Ponty. Semi-structured interviews were conducted with a purposive sample of sixteen family physicians; men, women, recent graduates and experienced physician working in urban, rural and academic practices. Interviews were recorded, transcribed and examined using template analysis, complimented with researcher reflexivity.ResultsStudy participants described physical examination as core to practice, to diagnose, to communicate, and to validate patient and practitioner concerns. Performance of physical examination became routine over time but a disruption to the expected caused physicians to pause. Participants described this as a slowing of time where they became conscious of the body of the patient and their own body, intertwined in a moment. Physicians experienced affective, intellectual, and physical phenomena, which integrated to guide their behaviour, diagnosis, and management of the patient. The role of physical examination was to not only diagnosis as an evidence-based medical expert, but was experienced as a form of embodied, nonverbal communication, which expressed care.ConclusionPhysical examination plays an important role to reassure and communicate trust in the doctor–patient relationship, enacted through the body of the physician. Complimenting diagnosis, the laying on of hands remains an essential element of patient care.

Stigmatization and social ostracism of patients with psoriasis: a qualitative phenomenological study

2021 ◽  
pp. 42-50
Author(s):  
Yulia V. AGAFONOVA ◽  
Daria L. SIMONOVA
Keyword(s):  
Interpersonal Relationships ◽  
Phenomenological Study ◽  
Skin Diseases ◽  
Social Stigma ◽  
Structured Interviews ◽  
Men And Women ◽  
Negative Effect ◽  
Social Ostracism ◽  
Female Bodies ◽  
Qualitative Phenomenological

Stigma is generally defined as a sign of shame or discredit, which prevents the formation of normal relationships in the patient's life and leads to discrimination. Skin diseases often lead to rejection of patients due to esthetic features and negative effect on their lives. The purpose of this study was to describe and explain the social stigma and rejection faced by patients with psoriasis. The criteria for inclusion of participants were: men and women with a by dermatologist diagnosed psoriasis; valid medical history in the Tambov Regional Dermatovenereological Clinical Dispensary; 6 months duration of the disease course; aged 14 years and older; voluntary desire to participate in the study; no history of mental disorders and acute somatic diseases. Respondents were selected using a sample with maximum variation to cover the largest possible range of viewpoints. In this sampling method, people are selected to participate in a qualitative study of their personal experience with the phenomenon being studied. In-depth semi-structured interviews were used to collect data. The present study shows that putting unfair labels on others was the experience of most participants, which led to psychological disorders or disruption of their interpersonal relationships. A sense of stigma leads to a decrease in self-esteem. Patients, as a rule, lived with fear, pain, uncertainty and hopelessness about the future, and also experienced feelings of rejection, discrimination, humiliation, prejudice, hatred and other negativity from others. The patients selected for the survey reported a pronounced sense of injustice as a result of communicating with people around them. It is obvious that stigmatization causes a violation of social interaction, suppresses the patient, causes a person to feel embittered, inferior, isolated and worthless, and also reduces his social status in the family and society. Participants in this study experienced poor family and social support. We found that there is no difference between men and women with psoriasis in terms of stigmatization and ostracism. Due to the obvious cosmetic side effects affecting both male and female bodies, psoriasis equally affects the stigmatization of both genders. We hope that the results of this study can be used to gain knowledge to solve problems, change the attitude of society, create motivation among researchers, create a good basis for qualitative research and ultimately contribute to improving the health of the population.

“I have grown with it”: Experiences of Spiritual Identity Development in a Group of South African Adolescents

2020 ◽  
pp. 0044118X2094742
Author(s):  
Luzelle Naudé ◽  
Tracy-Ann Capitano
Keyword(s):  
Identity Development ◽  
South African ◽  
Phenomenological Study ◽  
Meaning Making ◽  
Sense Of Self ◽  
Spiritual Identity ◽  
Structured Interviews ◽  
Spiritual Journeys ◽  
Religiosity And Spirituality ◽  
Qualitative Phenomenological

This qualitative phenomenological study aimed to capture experiences of spiritual identity development in a purposive sample of South African adolescents, using semi-structured interviews and reflective writing exercises. Participants confirmed the prominence of religiosity and spirituality, as intertwined concepts central to their sense of purpose and identity. Consistent with the ideas expressed in psychosocial theories and lifespan development approaches, these adolescents valued the importance of choice when confronted with contradiction. They prioritized personal commitment and authenticity in their spiritual journeys toward finding a sense of self. It is clear that spiritual identity development unfolds as a lifelong process, driven by an interplay between cognitive development, psychosocial experiences, and the religiocultural context. The findings of this study reiterates that, as adolescents mature into emerging adulthood and their lives and meaning-making abilities become more complex, spirituality is critical in answering intricate questions about the self, others, and purpose of life.

scholarly journals Conceptualizing Medical Resident’s Journey through Wonderland of Clinical Practice: From transitional shock to role adaptation to independent practice

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Marium Sohail ◽  
Rahila Yasmeen
Keyword(s):  
Clinical Practice ◽  
Identity Formation ◽  
Phenomenological Study ◽  
Independent Practice ◽  
Structured Interviews ◽  
Electron Model ◽  
Medical College ◽  
Creative Commons ◽  
Multi Stage ◽  
Qualitative Phenomenological

Objectives: To explore experiences of medical residents about stages and nature of transitional journey from induction into residency program to achievement of consultant title. Methods: Qualitative phenomenological study was conducted at Sir Gangaram hospital and Fatima Memorial Hospital, Lahore for six months from Feb 2019-July 2019 after IRB/ERC approval from Islamic International Medical College (Ref# Riphah/IIMC/ERC/19/0320). Using purposive criterion sampling, 16 semi-structured interviews in four departments, four strata of junior residents, senior residents, newly-qualified consultants, and supervising consultants with four participants each were conducted till theoretical saturation of data was achieved. After informed consent, audio recorded data was transcribed verbatim & analyzed through Atlas.ti 7 using Interpretive Phenomenological Analysis. After Bracketing and horizontalization, data was coded line by line. Codes (324) were merged to categories (19) for structural and textural description. Composite description of phenomenon was done by abstraction of themes (eight for stages and two for nature of journey). Results: Eight themes for stages as merriment, anguish, melancholy, acceptance and efforts, intensive learning, burnishing to shine, identity formation and intra-stage oscillations were identified. Two themes for journey’s nature were exponential learning & oscillating journey. Conclusion: The transitional journey is a multi-stage complex, oscillating journey. An oscillating electron model is presented upon the findings of this study to explain resident transition doi: https://doi.org/10.12669/pjms.37.4.3853 How to cite this:Sohail M, Yasmeen R. Conceptualizing Medical Resident’s Journey through Wonderland of Clinical Practice: From transitional shock to role adaptation to independent practice. Pak J Med Sci. 2021;37(4):---------.  doi: https://doi.org/10.12669/pjms.37.4.3853 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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